HomeMy WebLinkAbout2016-01236 - new septic <
CITY OF ORONO * z 0 1 6 - P1 1 2 3 6 *
2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016
ORONO, MN 55356-
� � (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4220 CHIPPEWA LA
PIN : 31-118-23-42-0012
LEGAL DESC : CHIPPEWA 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT)
ACTIVITY : SEPTIC(MOUND)
NOTE: (3)PRECAST CONCRETE TANKS- 1500, 1000, 1500
APPLICANT SEPTIC NEW OR REPLACEMENT 400.00
TOTAL 400.00
CHUCK'S EXCAVATING Payment(s)
760 WEST 96TH STREET CHECK 5759 400.00
CHANHASSEN, MN 55317-
(952)496-2874
Minnesota State License#: SW-L3320
OWNER
DBG,LLC
SCHRODER, SUSAN
4725 WEST LANE
MINNETRISTA,MN 55364-
AGREEMENT AND SWORN STATEME1vT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This pennit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
_ ,,� r�.�--�� /D , � , l.C�
Appl' ant Permitee Signature Date Issued B ignature Date
.
� ��pN�,, City of Orono FOR CITY USE ONLY
� ', P P.O.Box 66 /1�� _ / /
2750 Kelley Parkway Date Received: �/ !��
l ,�, � Crystal Bay, MN 55323 ����� ?�/�,
Permit# D � �`�.
;,\ Phone:(952)249-4600 ��
\`'Kr,,,oF`�` Fax: (952)249-4616 Approved By:
� Amount$:
�/
CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
Job Site / Owner Information:
Site Address: ,� �,� (_ ��r� _n. t�,,�G ���_
Owner: ,j ;;�, �_ �Xl��c5 J� ;- Mailing Address: _ �/7..,2.� 1,�'�f �.�,�,�
City: `���r�r�b,.�{=L�;� Zip: - �.�� �5l
Home Phone: (nS� - 02�)� � CU� �4� Alternate Phone: (o �� -�O " �S��
Contractor/Applicant Information:
Contractor/App: C,l-���1�5 (_XcGv���-�-�G Contact Person: JtsS� LJc'''�n
Address: �7 � ��: �jL,f`' �l- State License #: L33�U
City: (� �..n���sS-��-1 Zip: `�5� I 7 Expiration Date: �{��,�- ����
Phone: �'15�- '�1 G�-�-��>�y Alternate Phone: `��.��,�c� /-�� 7�
TYPES OF OCCUPANCY
� Residential ❑ Commercial ❑ Other
** ATTENTION APPLICANT **
Fill in all appro riate blanks and check all a ro riate boxes.
Tanks:
� Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other:
Number of Tanks: ,�
Size of Tanks: _�j(JC� l('X.:C� '1�UCJ
Type of Activity:
❑ Trenches �Mound ❑ Pressure Bed ❑ Chambers ❑ Holding Tanks
❑ Pre-Treatment ❑ Other
NOTE: Provide an As-Built of the system before the final inspection.
A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS.
Page 1
,
PERMIT TYPE AND FEES j �
New or Replacement System $400.00
Repair Existing System 100.00
(Tanks or Drainfield)
Tota I $
The undersigned hereby applies to the City of Orono for issuance of a septic system
installation permit, agrees to do all the work in strict accordance with ordinances of the City
and regulations of the State of Minnesota and certifies that all statements made on this
application are complete, true and correct.
Signature of Applicant ��ti-t.� ��� Date: `� � �'— ! �
MPCA License No.: � �35�;ZC:,
Staff Review: ❑ Accept ❑ Denied
Reviewer: Date:
Reason for Denial:
Comments (to be printed on inspection card):
GENERAL INSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
offices; however, permits will not be mailed out. The permit must be picked up in person at
the City offices and work must not begin unless the permit card is on the job site.
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION ***
2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency
(MPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system design.
4. The following inspections will be required for all septic systems:
A. Tank installation prior to covering.
B. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up, but prior to sand placement (sand must be jar tested for silt content) and
again during pressure distribution piping installation in the rock bed.
C. Final inspection to verify final cover depths and to verify that all pump station (where
required) components are functional and comply with codes.
5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present
during all inspections.
Page 2
, ���N�, City of Orono FOR CITY USE ONLY
� �• P P.O.Box 66 R ��/�
l 2750 Kelley Parkway Date Received: /
,\y � Crystal Bay, MN 55323 /—
Permit# o�0�(�_ Q/���C7
�<<� �� Phone:(952)249-4600 'z
�C7
\''ai,,,oF`�' Fax: (952)249-4616 Approved By:
Amount$:
CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
Job Site / Owner Information:
Site Address: '�]p(� V ����(���1'� lJ..�.��
Owner: S��� �C�,1�T�� Mailing Address: �-t��� 1,U2 S� �.`�-
City: ��R��v..�``�'�, Zip: � �,� �
Home Phone: t�s� ` �C1�- C�(7a Alternate Phone: 1���-�,�C� -uSoZ�
Contractor/Appticant Information:
Contractor/App: �-b I�� �'u�N�Q_ �Gt�-4CZ�-c�Contact Person: ____� �� X
Address: �(� ���� � S State License #: ��CS���7���
City: 6 � �� � Zip: S� �o� Expiration Date:
Phone: 02 " b- �. o� I Alternate Phone: lc7�� - S�y��� � lo
TYPES OF OCCUPANCY
[� Residential ❑ Commercial ❑ Other
** ATTENTION APPLICANT **
Fill in all a ro riate blanks and check all a ro riate boxes.
Tanks:
� Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other:
Number of Tanks: �
Size of Tanks: 1�(�ZJ �Q�(� ��G
Type of Activity:
❑ Trenches [�Mound ❑ Pressure Bed ❑ Chambers ❑ Holding Tanks
❑ Pre-Treatment ❑ Other
NOTE: Provide an As-Built of the system before the final inspection.
A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS.
Page 1
PERMIT TYPE AND FEES
� L��� �
New or Replacement System $400.00
Repair Existing System 100.00
(Tanks or Drainfield) �
Total $ `� ��
The undersigned hereby applies to the City of Orono for issuance of a septic system
installation permit, agrees to do all the work in strict accordance with ordinances of the City
and regulations of the State of Minnesota and certifies that all statements made on this
application are complete, tru and c -
> . � 6 /(�
Signature of Applicant ` Date:
MPCA License No.: �� �
Staff Review: ❑ Accept ❑ Denied
Reviewer: Date:
Reason for Denial:
Comments (to be printed on inspection card):
GENERALINSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
offices; however, permits will not be mailed out. The permit must be picked up in person at
the City offices and work must not begin unless the permit card is on the job site.
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION ***
2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency
(MPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system design.
4. The following inspections will be required for all septic systems:
A. Tank installation prior to covering.
B. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up, but prior to sand placement (sand must be jar tested for silt content) and
again during pressure distribution piping installation in the rock bed.
C. Final inspection to verify final cover depths and to verify that all pump station (where
required) components are functional and comply with codes.
5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present
during all inspections.
Page 2
. ,
` . , ' ' ��
�
' DESIGN FOR AN SUBSURFACE SEWAGE TREAT ��
SYSTEM (SSTS)
PREPARED BY:
TH�S SYSTEM IS DESIGNED FOR j���
____BEDROOMS. ANY INCREASE IN NUMSER CHIP'S SEPTIC SERVICE LLC. �1 �� �
INYALIDATES THIS DESiGN. « „ ��
OF
BEDROOMS Pernel Chip Hentges �
16762 Babcock Ave.
Lester Prairie, MN 55354
952-200-3176
Minnesota Pollution Control Agency Individual Sewage
Treatment System License No. 2064
CITY OF OP�ONO
SEPTIC PER T PLA EVIEW For:
INSPECT R �" & M Home Constractors Inc.
D,E4TE L E MIT NO.zm�, ,"_E� p,0. Box 90
_� AFPR( '6D AS S[;B�T[TTF,A
� APPROVTiI)NITH CORRF,CTiO1VS AS NOTED 413 Paul Ave South
ho7 nrrxovFn-cokkecT&RFsu�tirT Cologne, MN 55332
Thc,c commrnts are li�r your inform�tion. All work shali be done
in Full cumplianee with uf(upplic+iUle septic and zoning cude.
kcquircr.,.�m�,including itcros r;ot specificEifly noted in this���t1021 Of pTOpOSE'.C� SeptiC SyStelTl SltB:
Ki�_�i'�i i�i� i'L:',A StiT U�Sl�i'ii AT n't.l.Tl.WGS �
PID#3111823420012
4220 Chippewa Lane
Orono, MN 55359
This site is designed for Above Grade Mound System
The site must remain protected until construction begins.
(This is the responsibility of the owner and or General Contractor)
This site evaluation was evaluated on March 22, 2016. It is for a iype one dwelling with
and estimated flow of 750 gallons per day. Soils information indicated a seasonal water
table at 26 inches. A Mound System will be required to meet the 3- foot separation from
the seasonal high watertable as required by MPCA Agency Rules and Standards, Chapter
7080, 81.
The Mound System design area is 42 feet wide with a length of 92 feet. Pin Flags have
marked the location of the soil borings, plu�the boundary of the system.
The proposed system will require (1) 1500 gallon septic tank, (1) 1000 gallon septic tank,
and (1) 1500 gallon dosing tank. The tanks cannot be deeper than 4 feet from ground
elevation,and manholes must come to the surface, but be higher to not allow surface
water to enter manholes. The pump will need to be sized to deliver 36 gallons per
minute with a lift of 15 feet of total head. An effluent filter must be installed in the
second tank with an alarm system. The filter must be checked and cleaned on routine
' , ,, • ' ��'�►°�,'� >
- .��.�,� `��4�,.
. � ��
basis—normal use will require the filter to be rinsed off twice a year(spring and fall).
This is the responsibility of the systems owner.
The setback for the well from the septic system area must be a minimum of 50 feet for
both the septic tanks and the absorption area. The septic tanks will need ta be at least 10 ^ �
feet from the edge of the house and the absorption field must be#10 feet away from b �
property lines. It is the responsibility of the owner to identify the property
boundaries for designing and installing the septic system.
The septic system if properly installed and maintained should have no problems treating
effluent in the matter that it was designed for.Nothing other than human waste,toilet
tissues, shower, sink, dishwasher and laundry water should be drained to the septic tanks
and treatment field. If you have water treatment systems other than water softeners, in ex.
Iron filters,they should be diverted from entering the septic system.
Garbage disposals are not recommended, as they will add more-soli�s to yQur septic tanks
and may allow fine particles to enter the treatment area and clog the system. Daily toilet
bowl cleaners, shower sprays (that are used after every shower), and excessive cleaning
agents may kill bacteria needed to treat septic effluent. Additives are not needed, and are
not recommended in properly maintained septic system.
You should have your septic tanks pumped and inspected for proper maintenance
by a certified pumper every 2 years.
General
The soil conditions have been established at the test hole location only. There may be
variations in soil stratigraphy between and around the borings and interpolation and
extrapolation of the results is not warranted.
References:
MPCA Website: http://www.pca.state.mn.us/pro�rams/ists/index.html
U of M Water Resources Center Website: http://septic.umn.edu/index.html
If you should have any questions or need further information, you can contact staff at the
Local Unit of Government that is permitting this project, and or me at your convenience.
I hereby certify that I have completed this septic system design work in accordance with
's Rules and Standards Chapter 7080-81, local ordinances,rules, and laws.
�•.
Pernel"Chip"Hentges Licenses#2064
i
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� � Preliminary & Field Evaluation Form ����N�4 ,_
�� _��:
, ` wwtiv.Septicl,2esource.cor��#
���
Owner Information
Date 3/22/2016 Sec/Twp/Rng
Parcel ID 3111823420012 LUG(county, ciry,township) Hennepin County
Property Owner: I'!;� ����/�, Owners address(if different)
Property Address: 4220 Chippewa Lane
City/State/Zip: Orono, MN 55359
Flow Information and Waste Type/Strength
Estimated Design flow 750 Anticipated Waste strength ❑ Hi Strength ,0' Domestic
Any Non-Domestic Waste ❑ Yes(class V),0'No
Comments:
Sewage ejector/grinder pump ❑ Yes �o
#Water Softener should be re-routed �[
so it does not drain into septic system #€'� Water softener �Yes � No
Water softener can be routed to drain into footing tile and
surface outl Garbage Disposal ❑ Yes „�No
Daycare/In home business ❑ Yes [��No
Site Information
Existing&proposed lot ��Yes � No Well casing depth
improvements located (see site map)
Easements on lot located �"Yes � No Drainfield w/in 100'of ❑ Yes � No
(see site map) residential well
Property lines determined .�Yes ❑ No Site w/in 200'of transient ❑ Yes �` No
(see site map) noncommunity water supply(T'NCWS)
Req'd setbacks determined Yes � No Site w/in an inner wellhead ❑ Yes � No
(see site map) mgmt zone(CWS/NTNCWS)
Utilities located&identified ❑ Yes � No Buried water supply pipe ❑ Yes �/j No
(gopher state one call) � w/in 50'of system �~
Access for system maintenance �Yes � No Site located in Shoreland ❑ Yes � No
(shown on site map) (w/in 1000'of lake,300'of river)
Soil treatment area protected Yes ❑ No Site map prepared with , Yes ❑ No
previous items included
Construction related issues
, � � �����,:�� � .
�<< � , �.
� �;���
Soil Information ``�--�,�
Evidence of site:
Cut ❑ Yes ��No
Filled ❑ Yes ['�,.No
Compacted ❑ Yes [� No
Disturbed ❑ Yes �"No
Original soils �Yes ❑ No
Soil logs completed and attached �es � No Perk test completed and ❑ Yes �No
attached(if applicable)
Soil loading rate (gpd/ftz) 0.60 Percolation rate(if applicable)
Depth/elev to SHWT 24.00 Flooding or run-on potential ❑ Yes � No
(comments)
Depth to system bottom -12.00
maximum(or elev minimum) / �
��� Flood elevation(if applicable) /��
Depth/elev to standing
water(if applicable)
/ /,� Elevation of ordinary high �
Depth/elev to bedrock /tf/�1 water level(if applicable) ,/ �/�
(if applicable)
Floodplain designation and
Soil Survey information �Yes � No elev- 100 yr/10 yr(if applicable) ��''�
determined(see attachment)
Differences between soil survey
and field evaluation(if applicable)
ere y �ti this evaluation was completed in accordance with MN 7080 and any local req's.
� — ! Chip Septic Services LLC 2064
Designer Signature Company License#
. . ��,��� � ..
.�,� ��:���
,
20�1 purplecode Mound Desi n �
' � www.SepticResource.com (vers 14.2)
Property Owner: M and M Date: 3/22/2016
Site Address: 4220 Chppewa Lane, Orono 3111823420012
Comments:
instructions: � =enter data � = adjust if desired � = computer calculated - DO NOT CHANGE!
�� �5 bedroom Type �I Residential System
2� 750 GPD design flow
3� No Garbage disposal or pumped to septic
a� 2500 Gal Septic tank (code minimum) 2500 Gal Septic tank (design size / LUG req'd)
Tank options: none
s> 1.2 GPD/ft� mound sand loading rate contour loading rate of 12 req's a min 62.5 ft. long rockbed
6> 10.0 ft rockbed width 63.0 ft rockbedlength
�> 3.0 ft lateral spacing 3.0 ft perforation spacing (maximum of 3 for both)
end feed manifold connection
8) �3 laterals 61.0 feet long 21.0 perfs / lateral 63 perfs total
(1/2 a perf ineans the first pert starts at the middle feed manifold)
9� 7/32 inch perfs at �feet residual head gives 0.56 gpm flow rate per perforation
for this perf size F�spacing, �t pipe size on line 12, max perfs/lateral = 30 , line#8 must be less --> OK
�o� 5.0 doses per day (4 minimum)
>>� 150 gallons per dose (treatment volume)
. 1.50 5x
i2� 2.00 inch diameter laterals must be used to meet"4x pipe volume" requirement
2.00 3x
is> 40 feet of 2.0 inch supply line leads to �7 gallons of drainback volume
(Tip: "top feed" manifold to control the drainback)
ia� 157 �allons TOTAL pump out volume (treatment+ drainback)
�s> 8 feet vertical lift from pump to dispersal area, leads to a:
i6� 36 GPM� 15 feet of head, Pump requirement (note: >50gpm may require an extra 3-6'of head)
i�� 1500 gal Dose tank (code minimum) 1500 gal Dose tank (design size / LUG req'd) at 36.80 gpi
leads to a
ta) 4.3 inch swing on Demand float, or timed dosing of 4.4 min ON (confirm pump rate with drawdown
(to detiver Average ftow, 66%of Peak design flow) 7.2 hrs OFF test and adjust as necessary)
19) 12 inches from bottom of tank to"Pump OFF"float
zo� 16 inches from bottom of tank to"Pump ON"float, or 12 inches to"Timer ON"float if time dosed
2i� 19 inches from bottom of tank to"Hi Level"float, or 29 inches to"Hi Level"float if time dosed
zz) 801 gallons reserve capacity (after High Levet Alarm is activated)
_ _ , '�� „.,_
�,h:rs
23> 0.50 gpd/ft2 Absorption area Soil Loading Rate, which gives a mound ratio of 2.4 (minimum) ' , .
(this must match the soil boring log) desired mound ratio 2.4 _
2a� �8 percent site slope (0-20% ran�e) �8 (%downslope site slope, if different than upslope) ��
2s� 24 inches, or 2.0 ft. to Redox or other limiting condition {need at teast 12"to be a Type I)
Treatment zone contains�inches of 0% soil credit, and �inches of 50%soil credit. Giving a:
z6� 12 inch, or 1.0 ft. Sand Lift Mound CRITICAL FOR FUTURE CERTIFICATIONSI!!
z�� 24.0 ft.Total ABSORPTION width (with sand beyond rockbed as foltows:)
za> 0.0 ft. upstope and sideslope
14.0 ft. Downslope
Individual slope ratios give BERM widths (topsoil beyond rockbed)of:
29� 4:1 upslope ratio 9 ft. upslope berm
30> 4:1 sideslope 15 ft. sideslope berms
3�) 4:1 downslope 22 ft. downslope berm
32� Overall Dimensions: 10.0 ft. wide by 63.0 ft. long Rock bed
41 ft. wide by 93 ft. long Mound footprint
4" inspection pipe
18" cover t�n top
U�stope berm 0 Dotivnslo e benr� 22
12" cover on sides
{6"loamy cap&6"topsoil)
1.0 ��Par� s�nd lift
_ 2,p Depth to Lirnitin�
Limitinn Condition — __---———— --———_ ___
Absorption Width ^ 24.0 - _ .___—_ —_ __--——�`_`
�c�te:
For 0 to 1�s[ape�, ,46s�arption Width is measured from the B�dequatly in both directions.
For slopes �1�, Absr�rpfion Width is measured downhill frflm the upslope ed�e of the B�d.
s3� Rock Bed:
10.0 ft. by 63.0 ft. by �inches under pipe, plus 20%gives 28 yd'or*1.4= 39 ton
3a� Mound Sand: (note: volume is based on 3:1/4:1 slope from top of rockbed, Exchange sand for loamy cap if desired)
19.1 up + 72.6 downslope + 11.6 ends + 32.7 under rock= 163 yd'or`1.4= 228 ton
plus 20%
3s> Loamy Cap:
37 ft. by 89 ft. 6" deep, ptus 20%gives 74 yd'or*1.4= 104 ton
s6) TopsoiL•
41 ft. by 93 ft. 6"deep, plus 20%gives 85 yd'or*1.4= 119 ton
�-I�Fier`eby c-ertify that I have completed this work in accordance with atl applicable ordinances, rules and laws.
,.,�
� '�� '�� 3/22/2016
Designer Signature Company License# Date
. . �� • ' � �
e� ��,��'
�
� � Installer Summary
2500 gallon Septic tank (minimum) Tank options: none
1500 gallon Dose tank (minimum) at 36.80 gp�
36 GPM C� 15 ft. of head, Pump required
4.3 inch swing on Demand float which translates to roughty 3.2 inches of float tether tength
if time dosing is required --> 4.4 minutes ON time �. 7.2 hours OFF time
16 inches from bottom of tank to"pump ON"ftoat, or 12 inches to"timer ON"float
19 inches from bottom of tank to"Hi Level Alarm"or 29 inches to"Hi level atarm"if time dosed
40 ft. of 2.0 inch suppty tine with end feed manifold connection
(Tip: "top feed" manifold to controt drainback)
12 inch, or 1.0 ft. Sand Lift Mound
10.0 ft. wide by 63.0 ft. long Rock bed
3 laterals 2.00 inch diameter 61.0 ft. long 3.0 ft. lateral spacing
7/32 inch perfs 3.0 ft. perforation spacing
yes Effluent filter � alarm
3 clean out f�valve box assemblies
24.0 ft.Total sand ABSORPTION width (sand beyond rockbed) (minimum)
0.0 ft. upslope and sidestope
14.0 ft. Downslope
Specific slope ratios give BERM widths (topsoil beyond rockbed)of:
4:1 upslope ratio 9 ft. upslope berm
4:1 sideslope 15 ft. sideslope berms
4:1 downslope 22 ft. downslope berm
4" inspection pipe
18" cover on top
Upslope berm 0 Downslo e berm 22
12" co�e�- on sides
{6"loamy cap&6"topsoil}
1.0 Glean s�nd lift ��
_ 2.0 ,Depth to Lirnitino
Limiting Condition' —`----�---_—_.--
Absor tion V+lidth 24.0 —�--`--- --- ------__.
Nate:
For 0 to 1�stopes, A6sorption Width is measured from the Bedequally in both directions.
For slapes >19�, Aksarp�ion Widtfi is measured downhilt frnm the upslope ed�e of the Bed.
Rock Bed: 28.0 yd3 or"1.4= 39 ton 9 inches under pipe
Mound Sand: 163 Yd3 or"1.4= 228 ton calculation based on 3:1/4:1 slope from top of rockbe�
Loamy Cap: 74 yd3 or"1.4= 104 ton 6"deep
Topsoil: 85 yd3 or*1.4= 119 ton 6"deep
� �
INSPECTOR CHECKLIST - mound k ���� ����
41LU(.hppewa Lane, Urono �, , �..�
� WELL setbacks: 20'to pressure tested sewer line (5 psi for 15 min) <�aE,��'
50'to everything 100'to dispersal area with shallow wetl 4�
PROPERTY LINES setback: 10'to everything ��"
Road setback: outer ditch, or 33'from center of township road, or 65'from center of cnty road
LAKE/BLUFF setback: 20'for bluff. Lakes: GD_, RD_, NE Protected wettand_.
Building setbacks: 10'for everything, 20'for dispersal area.
WATER L1NE under pressure se 10'to bed,tank�t sewer line. (else sewer line> 12" below)
� Sewer line Et baffle connection (no 90's, 3'between 45's, slope min 1" in 8', max 2"in 8')
(no depth req's, clean out every 100', Sch 40 D2665 or F891)
� Septic tank and risers (water tight, insulated, proper depth, existing verified by pumping)
mfg 2500 �allons none
Riser over outlet, riser over inlet or center, and 6"+ inspection pipe over any remaining baffles.
yes effluent filter 8 alarm
Dose tank risers and piping (water tight, insulated, proper depth, drainback)
mf� 1500 gallons
� dose pump 36 gpm 15 head VERIFY PUMP CURVE 4.4 min ON 7.2 hr OFF
� float setting drop 4.3 inches at 36.8 gpi "DESIGNED" 3.2 inches approx float tether length
157.0 gat dose divided by gpi "INSTALLED" = inches float drop (field corrected
LABEL pump requirements and drawdown on riser or panel
Cam tock reachable from grade - 30" max. J-hook weep hole. Supply line access (no hard 90's)
supply pipe sloped 1/8"+, supported by sch40 sleeve, and buried 6"+.
splice box / control panel / electrical connections
flow measurement: CT, ETM, time dosed, home water meter
mound absorption area rough up
mound rock dimensions 10.0 X 63.0
Sand lift depth 12 inches. (Jar test : 2"sand leaves < 1/8"silt after 30 min)
� Absorption Sand beyond rock 0.0 upslope 14.0 downslope
� Bermed topsoit beyond rockbed 9 upslope 15 sideslope 22 downstope
cover depth of 12-18"+ VERIFY
3 laterals (1-2'from edge of rock)
2.00 inch pipe size
3.0 ft lateral spacing
8 7/32 inch perforations
3.0 ft perforation spacing
Air inlet at end of laterats, and at top feed manifold if necessary. VERIFY
ctean outs (no hard 90's)
4"inspection pipe to bottom of rock, anchored VERIFY
Abandon existing system - if necessary �Re-use existing tank certification
monitoring plan and type
well abandonment form - if necessary
� � Soil Observation Log �¢`�;_ � ,r
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' w��v.SepticResource.com vers 12:4<.'_ " ��t�,,�
Owner Information � ���`�`��
4�
Property Owner/project: ��--� ��`�.,�� Date 3/22/2016
Properiy Address/PID: 4220 Chppewa Lane, Orono
Soil Survey Information ❑ refer to attached soi�survey
Parent matl's: 0 Tili ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock
landscape position: ❑ Summit � Shoulder � Side slope ❑ Toe slope
soil survey map units: �..5��' K:,���-rv-i slope !� % direction- doW11h111
Soil Log#1
Q Boring ❑ P�t Elevation Depth to SHWT �j(� `'
Depth(in) Texture fragment% matrix color redox color consistence grade shape
<35 loose loose single grain
35 -SO e _ granular b
>50 f� moderate prismatic platy
'.`� —r �t? t—`'�"'�- (���.��`�-- rigid strong massive
<35 loose loose single grain
35 -50 � fri �ce� granular bl
f >50 �'Z f nn moderate prismatic aty
l� - Z �-�' rigid strong massive
�35 loose loose single grain
35 -50 fri� w� granular�b�eel�c
�� ^� moderate prism ci�c p
�"S� �� >50 �3 I'lgid strong massive
�35 '��,�,��..�.S loose loose s,no�e gra�n
35 -50
friable weak granular c
�j � � �� >50 ��y �Z f�, mod 1te prismatic platy
� �gid st1'ong massive
�35 loose loose single grain
35 -50
friable weak �ra�,��ar btocky
>50 f� moderate prismatic plary
rigid strong massive
Comments:
4220 Chppewa Lane, Orono Soil Log#2 `��r`��<�.
�Borin ' ��
g ❑ P�t Elevation Depth to SHWT ��� � i ����!���
Depth(in) Texture fragment% matrix color redox color consistence grade �`" e ��
loose loose single grain
<35
35 -50 ,� granular
fi1'iri moderate prismati platy
r` '' ���e.� >50 l j� i f��-�� ilgld St1'Orig massive
f�
�35 loose loose single grain
&'�—� granular
35 -50 �� g� moderate prismatic�
�i >50
�� `L rigid StYong massive
loose loose single grain
�35 � granul�✓t��i y
35 -50 lrm moderate prisma�c ptaty
y� � �
�I r�� �� �50 rigid strong massive
<35 lo0se loose single grain
�'�`"� friable weak
35 -50 granular bl
�� j%( fil�" 111pd ' prismatic laty
�=' � �� >50 � rv �
� " I'lgld strong massive
<35 loose loose single grain
friable weak granular b►ocky
35 -50
finn moderate prismatic platy
>50 rigid strong massive
4220 Chppewa Lane, Orono Soil Log#3
(� Boring ❑ Pit Elevation Depth to SHWT��`
Depth(in) Texture fragment% matrix color redox color consistence grade shape
�35 loose loose single grain
35 -50 -
a W granular block
�O� j �rm mo erate prismati
/,� / i��.� >50 �•� rigid strong massive
(� / C.
�35 IOOSe IOOSe single grain
�a e W granular
35 -50 -
>50 `� � moderate prismatic platy
C[.— � rlgid strong massive
<35 �� loose loose single grain
�� friable weak granular
` �G ^ � 35 -50 f� o at Prismat'c
2� J (• >SQ 3 � � I'igid strong massive
<35 loose loose single grain
friable weak granular blo
35 -50 �t
�d '/ �(�. >50 � - mod�te�� prismatic p a
r�gid strong massive
loose loOse sin�le grain
<35 friable weak granulaz blooky
35 -50
fll1T1 moderate prismatic platy
>50 rigid strong massive
I ereby certi is work was completed in accordance with MN 7080 and any local reg's.
� �l
Designer Signature Company License#
. � ` � ZZ,v �1.,;�opt�a- �
� ' �- Soil Log� `'' '� ��f�'�-
Po a.��.
Boring � Pit Elevation Depth to SHWT_� -_ ,,;�j,��,
�,�::
� Depth(in) Texture fragment% matrix color redox color consistence grade shape"'�� ..��
loose loose
<35 single grain
35 -50 ie— �� granulaz
,j f� moderate prismatic platy
�`.�7 ��g,+'1 >50 ���I� Zf.z rigid strong massive
<35 loose loose single grain
f��i'ab�e w.ea�
,r,.,...� _ ganulaz b
35 -50 3 f� _��
l�-2t� ,SILi-- >50 �� f� moderate prismatic platy
rigid Snong massive
�35 loose loose single grain
35 -50 ��
� weak granular bl�cl�y
zQ.�� �.!_. >SQ � firm rilOCIE2'�t�. Prismatic `platy
rigid strong massive
�35 p���T loose loose single grain
��` friable weak granu�ar blo k
35 - 50 �-� ,� ,�
Z���` �t"" >50 '% °�� � �-� o�erate� Prismatic p a
rigid strong massive
<35 loose loose single grain
35 -50 friable weak granular blocky
>50 � moderate prismaiic platy
rigid Sn-ong massive
t SOII LO
g�� S� r�--L7���
,� Boring � Pit Elevation Depth to SHWT z�
Depth(in) Texture fragment% matrix color redox color consistence grade shape
<35 lOOse lOOse single grain
35 -50
friable weak granulaz bioct�y
� _ ��, � �� >50 ���r,� 2-� f� moderate prismatic p(aty
rigid strong m�sive
<35 loose loose single grain
35 -50
friable weak �anutaz blocicy
`�,Zl� C(,., >50 ��j� f� moderate prismacic platy
'L1 / rigid strong massive
�35 J� / loose loose single grain
35 -50
/lC�(.'��^-� fi-iable weak �anu�ar blocky
�� � �-�-- �50 � �� �f'"� � moderate prismatic platy
� `� Tlgid strong massive
<35 loose loose single grain
35 -50
friable weak granutar blocky
>50 f� moderate Prismatic platy
rigid strong massive
�35 loose loose single grain
35 -50 friable weak granulaz blocky
>50 f� moderate prismatic platy
rigid strong m�sive
1 her y cer his work was completed in accordance with MN 7080 and any local req's.
._ Z�,�
Designer Signature Company License#
� -- Soil Log c� � ' ' j .� .
❑ Boring ❑ Pit Elevation De th to SHWT � `�`"��
P �.u ,�
�.,_ �,e'�:;�.��
Depth(in) Texture fragment% matrix color redox color consistence grade s�a'�e,� : -
<35 loose loose 51 g--�
35 -50 �`�}�`` ''��-°� granul
�!S �� )5� ���� � Pili moderate prismatic platy,
� r '�,,,, massive
rigid strong
<35 loose loose single gra�n
�
35 -50 �f€i�bi�-�''� �a�C, gra"'�Jer;:��c iry
/s,Z2 �50 �� lt nn moderate prismatic plaTy
S�E-�- .� rigid strong massive
loose loose single grain
<35 fr}��� _, weak _.
35 -50 / . . .. granular hlg.c�cy
��m....�. �,...
r_ � � )5� y � fii'm 1Tlo�rate prismatic pFaty
(�' Zl'" rigid Snong massive
<35 �` loose loose single grain
C..���='t lf able� weak granular b�
35 -50
��as . G� >50 �''� �, fi� mo�ei3fe� Prismatic p`tary`
�r � �� ngid strong __ massive
�35 loose loose singfe grain
friable weak granular blocky
35 -50
�1 moderate Prismatic platy
>50 rigid strong massive
Soil Log
❑ Boring � Pit Elevation Depth to SHWT
Depth(in) Texture fragment% matrix color redox color consistence grade shape
<35 loose loose single gain
friable welk granulu blocky
35 -50
f1rn1 moderate prismatic platy
>50 rigid St1'ong massive
<35 loose loose single grain
35 -50
friable weak granulaz btocky
f� mOderate prismatic platy
>50 rigid Snpng massive
<35 loose loose single grain
35 -50
friable weak granulaz blocky
firm moderate pr[smatic platy
>50 iigid strong massive
<35 loose loose single grain
35 -50
friable weak granutar blocky
�1 moderate prismatic platy
>50 rigid strong massive
�35 loose loose single grain
fi-iable weak granular blocky
35 -50
fin'n moderate p�ismatic platy
>50 rigid S�ppg massive
1 her by cert�t t ork was completed in accordance with MN 7080 and any local req's.
�. -�..�``�,
-----�---^'� .
� �
Designer Signature Company License#
3 Soil Map—Hennepin County,Minnesota �
� �
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450120 450150 450180 450210 450240 450270 450300 450330 450360 450390 45042D
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3 3 a,
� Map Scale:1:1,510 if pHnGed on A landscape(11"x 8.5")stieet h , ����
Meters "'
P N 0 20 40 60 120 �, r� �'�
� �t e
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MaP ProJe[tiai:Web Mercator Cnmer mordinates:WC�S84 Edge bes:UTNi Zone 15N W�S84 �� '�.�^#
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USDA Natural Resources Web Soil Survey 3/24/201 , �^
� Conservation Service National Cooperative Soii Survey Page 1 of �"
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Soil Map—Hennepin County,Minnesota � i'�'d��''`�
._�` ��`�
�`'`�.
Map Unit Legend
Hennepin County,Minnesota(MN053)
Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI
L24A Glencoe clay loam,0 to 1 0.1 0.8%
percent stopes
L35A Lerdal loam,1 to 3 percent 0.3 3.8%
slopes
L36A Hamel,overwash-Hamel 4.8 57.0%
complex,0 to 3 percent
slopes
L41 C2 Lester-Kilkenny complex,6 to 3.2 37.4%
12 percent slopes,eroded
L41 E Lester-Kilkenny complex,18 to 0.0 0.1%
25 percent slopes
L49A Klossner soiis,depressionai,0 0.1 0.9%
to 1 percent slopes
Totals for Area of Interest 8.4 100.0%
U� Naturai Resources Web Soil Survey 3/24/2016
Conservation Service National Cooperative Soil Survey Page 3 of 3
� Soil Map—Hennepin County,Minnesota 3
�
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450120 450150 450180 45021D 450240 450270 450300 45033p 450360 450390 450420
49°59'8"N � 44°59'8"N
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3 � j ��.;��i
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� Map Scale:1:1,510 fiprinted on A landsmpe(il"x 8.5")sheet � ���,�'
Meters j
P N 0 20 40 80 120 rn �' ,,.��
� FeeY [ Sr;M,
0 50 100 200 300 ���°
Map projediar Web Merca[or Comer mordinates:WGS84 Edge tics:UTM Zone 15N WGSA�I ±� �".��'�'
jJ :�''�,.-.
UiS�D.A Natural Resources Web Soil Survey 3/24/2�6 ����
Conservation Service National Cooperative Soil Survey Page 1 3
a �y�
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"'�—�..,,.,. 'fi'�
Soil Map—Hennepin County,Minnesota �"'�„��
Map Unit Legend
Hennepin County,Minnesota(MN053)
Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI
L24A Glencoe clay loam,0 to 1 0.1 0.8�/o
percent slopes
L35A Lerdal loam,1 to 3 percent 0.3 3.8�/a
slopes
L36A Hamel,ovenvash-Hamel 4.8 57.0%
complex,0 to 3 percent
slopes
L41 C2 Lester-Kilkenny complex,6 to 3.2 37.4%
12 percent slopes,eroded
L41 E Lester-Kilkenny complex, 18 to 0.0 0.1%
25 percent slopes
L49A Klossner soils,depressional,0 0.1 0.g��
to 1 percent slopes
Totais for Area of Interest 8.4 100.0°/a
U_SDA Natural Resources Web Soil Survey 3/24/2016
� Conservation Service National Cooperative Soil Survey Page 3 of 3
. . � F?''+� ..
. '- ';� ;k�f.
UNIVERSITY � , �. _ P�����`�A��
. � OF MINNESOTA � '�'`-�-
� � `---�..
Septic System Management Plan
for Above Grade Systems
The goal of a septic system is to protect human health and the environment by properly treating
wastewater before returning it to the environment. Your septic system is designed to kill harmful
organisms and remove pollutants before the water is recycled back into our lakes, streams and
groundwater.
This management plan will identify the operation and maintenance activities necessary to ensure long-
term performance of your septic system. Some of these activities must be performed by you, the
homeowner. Other tasks must be performed by a licensed septic maintainer or service provider.
However, it is YOUR responsibility to make sure all tasks get accomplished in a timely manner.
The University of Minnesota's Septic System Owner's Guide contains additional tips and
recommendations designed to extend the effective life of your system and save you money over time.
Proper septic system design, installation, operation and maintenance means safe and clean water!
Property Owner
Property Address 4220 Chippewa Lane, Orono, MN Property ID 31 1 1 82342001 2
System Designer Chip's SeptiC ServiCes LLC License# Zc3 to`�
System Installer License#
Service Provider/Maintainer Chip's Septic Services LLC Phone q S2 - Z�o - � i�] �
Permitting Authority Clty Of Ot'ollo Phone
Permit# Date Inspected 3-16
Keep this Management Plan with your Septic System Owner's Guide. The Septic System Owner's Guide
includes a folder designed to hold maintenance records including pumping, inspection and evaluation
reports. Ask your septic professional to also:
• Attach permit information,designer drawings and as-builts of your system, if they are available.
• Keep copies of all pumping records and other maintenance and repair invoices with this document.
• Review this document with your maintenance professional at each visit; discuss any changes in product
use, activities or water-use appliances.
For a copy of the Septic System Owner's Guide,call 1-800-876-8636 or go to http://shop.extension.umn.edu/
http://s ep t i c.umn.e du
- 1 -
10/09
UNIVERS ITY Septic System Management Plan .�� `�j� � .
forAbove Grade Systems � - �',''� ��}.
OF MINNESOTA � '. - � "i ` �:4 r
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Septic System Specifics
❑ System is subject to operating permit*
System Type:O I�II � III�IV* �V* ❑ System uses IJV disinfection unit*
(Based on MN Rules Chapter 7080.2200—2400) Type of advanced treatment unit
*Additional Management Plan required
Dwelling Type Well Construction
Number of bedrooms: 5 Well depth(ft): ' 100
System capacity/design flow(gpd): 750 m Cased well Casing depth: unknown
Anticipated average daily flow(gpd): 200 ❑ Other(specify):
Comments Distance from septic(ft):'100
In-home business?_What type? Is the well on the design drawing?OY � N
Septic Tank
; One tank Tank volume: gallons p Pump Tank(if one) 150o gallons
Does tank have two compartments?�Y�N p Effluent Pump type:
•� Two tanks Tank volume: 225� gallons TDH �5 Feet of head
❑ Tank is constructed of concrete Pump capacity 36 GPM
❑ Effluent Screen type: ❑ Alarm visual � audible
Soil Treatment Area
Mound/At-Grade area(length x width):42 ft x 92 ft g Cleanouts or Inspection Ports
' Rock bed size(length x width): �o ft x s3 ft � Surface Water Diversions
- 2 -
10/09
��y
';��.
Septic System Management Plan ��. ,� .�
UNIVERS ITY for Above Grade Systems r"�' `���� �
� �F MINNESOTA - ���"�
' -�� -�.
Homeowner Management Tasks
These operation and maintenance activities are your responsibiliry. Use the chart on page 6 to track
yOZIY QCfIVIt12S.
Identify the service intervals recommended by your system designer and your local government.
The tank assessment for your system will be the shortest interval of these three intervals. Your
pumper/maintainer will determine ifyour tank needs to be pumped.
System Designer: check every months
My tank needs to be checked
Local Government: check every months
State Requirement: check every 36 months
every 36 months
Seasonally or several times per year
❑ Leaks. Check(listen, look)for leaks in toilets and dripping faucets. Repair leaks promptly.
❑ Surfacing sewage. Regularly check for wet or spongy soil around your soil treahnent area. If
surfaced sewage or strong odors are not corrected by pumping the tank or fixing broken caps, call
your service professional. Untreated sewage may make humans and animals sick.
❑ Alarms. Alarms signal when there is a problem; contact your maintainer any time the alarm
signals.
❑ Lint filter. If you have a lint filter, check for lint buildup and clean when necessary. Consider
adding one after washing machine.
❑ Effluent screen. If you do not have one, consider having one added the next time the tank is
cleaned.
Annually
❑ Water usage rate. A water meter can be used to monitor your average daily water use. Compare
your water usage rate to the design flow of your system (listed on the next page). Contact your
septic professional if your average daily flow over the course of a month exceeds '�0% of the
design flow for your system.
❑ Caps. Make sure that all caps and lids are intact and in place. Inspect for damaged caps at least
every fall. Fix or replace damaged caps before winter to help prevent freezing issues.
❑ Water conditioning devices. See Page 5 for a list of devices. When possible, program the recharge
frequency based on watef� demand (gallons) rather than time (days). Recharging too frequently
may negatively impact your septic system.
❑ Review your water usage rate. Review the Water Use Appliance chart on Page 5. Discuss any
major changes with your pumper/maintainer.
During each visit by a pumper/maintainer
❑ Ask if your pumper/maintainer is licensed in Minnesota.
❑ Make sure that your pumper/maintainer services the tank through the manhole. (NOT though a 4"
or 6"diameter inspection port.)
❑ Ask your pumper/maintainer to accomplish the tasks listed on the Professiona] Tasks on Page 4.
- 3 -
10/09
y ��,::� .
UNIVERS ITY Septic System Management Plan .�.� ' ; "`����,� � ,
for Above Grade Systems ' `�,�$�
4F MINNESOTA - � - � `�-�
_ ` '��,�� '��.
Professional Management Tasks
These are the operation and maintenance activities that a pumper/rnaintainer performs to help ensure
long-term performance of your system. Professionals should refer to the O/M Manual for detailed
checklists for tanks,pumps, alarms and other components. Call 800-322-8642 for more details.
❑ Written record provided to homeowner after each visit.
Plumbing/Source of Wastewater
❑ Review the Water Use Appliance Chart on Page 5 with homeowner. Discuss any changes in
water use and the impact those changes may have on the septic system.
❑ Review water usage rates(if available)with homeowner.
Septic Tank/Pump Tanks
❑ Manhole lid. A riser is recommended if the lid is not accessible from the ground surface. Insulate
the riser cover for frost protection.
❑ Liquid level. Check to make sure the tank is not leaking. The liquid level should be level with the
bottom of the outlet pipe. (If the water level is below the bottom of the outlet pipe,the tank may
not be watertight. If the water level is higher than the bottom of the outlet pipe of the tank, the
effluent screen may need cleaning,or there may be ponding in the drainfield.)
❑ Inspection pipes.Replace damaged caps.
❑ Baffles. Check to make sure they are in place and attached, and that inlet/outlet baffles are clear
of buildup or obstructions.
❑ Effluent screen. Check to make sure it is in place; clean per manufacturer recommendation.
Recommend retrofitted installation if one is not present.
❑ Alarm. Verify that the alarm works.
❑ ,Scum and sludge. Measure scum and sludge in each compartment of each septic and pump tank,
pump if needed.
Pump
❑ Pump and conirols. Check to make sure the pump and controls are operating correctly.
❑ Pump vault. Check to make sure it is in place; clean per manufacturer recommendations.
❑ Alarm.Verify that the alarm works.
❑ Drainback. Check to make sure it is operating properly.
❑ Event counter or run time. Check to see if there is an event counter or run time log for the pump.
If there is one, calculate the water usage rate and compare to the anticipated average daily flow
listed on Page 2.
Soil Treatment Area
❑ Inspection pipes. Check to make sure they are properly capped.Replace caps that are damaged.
❑ Surfacing of effluent. Check for surfaced effluent or other signs of problems.
❑ Lateral flushing. Check lateral distribution; if cleanouts exist,flush and clean as needed.
❑ Ponding. Check for ponding. Excessive ponding in at-grade and mound beds indicates
problems.
All other components—inspect as listed here:
-4 -
10/09
. UNIVERSITY Septic System ManagementPlan �- �
: r i�'
• for Above Grade Systems � °'{
OF MINNESOTA �
Water-Use Appliances and �`�� `�.��
Equipment in the Home
Appliance Impacts on System Management Tips
• Uses additional water. • Use of a garbage disposal is not recommended.
• Adds solids to the tank. • Minimize garbage disposal use.Compost instead.
Garbage disposal . Finely-ground solids may not settle. • To prevent solids from exiting the tank,have your
Unsettled solids can exit the tank tank pumped more frequently.
and enter the soil treatment area. . Add an effluent screen to your tank.
• Washing several loads on one day • Choose a front-loader or water-saving top-loader,
uses a lot of water and may overload these units use less water than older models.
your system. . Limit the addition of extra solids to your tank by
• Overloading your system may using a liquid or easily biodegradable detergents.
Washing machine Prevent solids from settling out in . Install a ling filter after the washer and an effluent
the tank. Unsettled solids can exit screen on your tank.
the tank and enter the soil treatment � Wash only full loads.
area. . Limit use of bleach-based detergents.
• Think even—spread your laundry loads
throughout the week.
• The rapid speed of water entering • Install an effluent screen in the septic tank to
2"a floor laundry the tank may reduce performance. prevent the release of excessive solids to the soil
treatment area.
• Be sure that you have adequate tank capacity.
• Powdered and/or high-phosphorus • Use gel detergents. Powdered detergents may add
detergents can negatively impact the solids to the tank.
Dishwasher Performance of your tank and soil . Use detergents that are low or no-phosphorus.
treatment area. . Wash only full loads.
• New models promote"no scraping". . Scrape your dishes anyways to keep undigested
They have a garbage disposal inside. solids out of your septic system.
• Finely-ground solids may not settle. • Expand septic tank capacity by a factor of 1.5.
Grinder pump(in Unsettled solids can exit the tank . Include pump monitoring in your maintenance
home) and enter the soil treatment area. schedule to ensure that it is working properly.
• Add an effluent screen.
• Large volume of water may • Avoid using other water-use appliances at the
Large bathtub overload your system. same time.For example,don't wash clothes and
(whirlpool) • Heavy use of bath oils and soaps can take a bath at the same time.
impact biological activity in your . Use oils,soaps,and cleaners in the bath or shower
tank and soil treatment area. sparingly.
Clean Water Uses Impacts on System Management Tips
High-e�ciency • Drip may result in frozen pipes • Re-route water into a sump pump or directly out
furnace during cold weather. of the house.Do not route furnace recharge to
your septic system.
• Salt in recharge water may affect • These sources produce water that is not sewage
Water softener system performance. and should not go into your septic system.
Iron filter . Recharge water may hydraulically . Reroute water from these sources to another
Reverse osmosis overload the system. outlet,such as a dry well,draintile or old
drainfield.
• Water from these sources will likely • When replacing consider using a demand-based
Surface drainage overload the system. recharge vs.a time-based recharge.
Footing drains . Check valves to ensure proper operation;have
unit serviced per manufacturer directions
- 5 -
1U/09
r_�,,�.�y.
�: �
Septic System Management Plan � ✓ � � ` ��`� ``
UNIVERSITY � 4 � J` " Y
Y �t ��'-r,y-��(�.
for Above Grade Systems ' �'`Y�`
OF MINNESOTA � - F
_..r� �'��e
_ 4�,
Maintenance Log
Track maintenance activities here for easy reference. See list of management tasks on pages 3 and 4.
Activity Date accomplished
Check frequently:
Leaks: check for plumbing leaks
Soil treatment area check for surfacing
Lint filter: check, clean if needed
Effluent screen: if owner-maintained
Check annually:
Water usage rate(monitor frequency_)
Caps: inspect,replace if needed
Water use appliances—review use
Other:
Notes:
Mitigation/corrective action plan:
"As the owner of this SSTS, Z understand it is my responsibility to properly operate and maintain
the sewage treatment system on this property, utilizing the Management Plan. If requirements in
this Management Plan are not met, I will promptly notify the permitting authority and take
necessary corrective actions. If I have a new system, I agree to adequately protect the reserve
area for futvre use as a soil treatment system."
Properly Owner Signature: Date
Management Plan Prepared By: Chip's Septic Service LLC Certification# 2064
Permitting Authority:Clty Of Ot"OIlO
�2009 Regents of the University of Minnesota. All rights reserved. The University of Minnesota is an equal opportunity educator and employer.
This material is available in altemative formats upon request. Contact the Water Resources Center,612-624-9282. The Onsite Sewage
Treatment Program is delivered by the University of Minnesota Extension Service and the University of Minnesota Water Resources Center.
- 6 -
10/09
� ��'��
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❑CORRECT UNSAFE CONDITION WRHIN H��• ❑pH0T0 TAKEN
INSPECTOR NfILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContra on site:
Inspector.
White Copyllnspector's FII� Canary CopylSlt�Notiee